Choosing a myopia-control strategy in a young patient with moderate myopia and significant astigmatism

Clinical presentation 

An 11-year-old East Asian young person attended with their family to discuss options for myopia management. The child had bilateral myopia with significant astigmatism. They did not like wearing myopia control spectacles, which they had tried in the past.

Examination 

Distance visual acuity 

• RE: −0.10 logMAR
• LE: −0.10 logMAR 

Refraction 

• RE: −2.00 / −2.00 D (SE −3.00 D)
• LE: −2.25 / −1.75 D (SE −3.13 D) 

Axial length 

• RE: 23.94 mm
• LE: 24.16 mm

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